Recently, the Ministry of Human Resources has planned the training of doctor-patient communication training modules for new recruits before the opening of the post, and opened a new model of "five customary" medical and continuing doctor-patient communication education.
It is understood that the “five-customer” doctor-patient communication model is based on the Four Habits Model (FHM) model of continuous communication education for doctors and patients widely used in Europe and the United States, combined with China’s medical load, doctor-patient relationship, medical services, contradictions and other actual conditions. After localization researches and cultural adjustment,it is suitable for the Chinese medical staff of the doctor-patient communication training system. The model includes five habits of“respecting goodness and rapport, gathering information, understanding patients, expressing empathy, building trust, risk notification, informed consent, providing diagnosis, and making decisions,”and 15 communication skills. Through the training of“five habits”of medical staff, effective communication with patients and the purpose of building respect for mutual trust between doctors and patients can be achieved. The project is a CMB FD project and the 2014 Ping An Hospital construction project. The "Five Customs" doctor-patient communication training is rich in content and diverse in form. It uses theoretical teaching, scenario simulation, video teaching, standardized patients, and case discussions.
Scenario simulations are performed by new recruits, and the stories that occur during the diagnosis and treatment are moved to the stage in the form of sitcoms. Scenario simulation recreates the patients' anxiety and understanding of their own conditions, and the improvement of service attitude of young medical staff after the conflict between doctors and patients. Through vivid examples and vivid and sincere language, the“five used”doctor-patient communication skills were demonstrated and the actors performed well. The students responded enthusiastically and vivid scenes left an indelible impression on the students.
The link of the simulated case was made by Professor Jiang Weihong of the Cardiology Department, associate professor of cardiothoracic surgery, and Jin Longyu and Liu Xinchun, deputy directors of the Human Resources Department, and provided one-on-one doctor-patient communication counseling to doctors. The volunteers simulated the patient's visit to the hospital. These patients assumed different experiences, different conditions and different causes of illness, such as: septic arthritis, fear of leaving sequelae affecting the image; cholecystitis, causing anxiety Anemia Chain, worried about leukemia. The performance of the patients was very powerful and set various problems for the doctors. The doctors are also calm and calm, using the knowledge they learned to solve the problems one by one. Teacher comments, participants' peer reviews, and on-site feedback on the performance of all participants. The students have said that this method is very helpful in correcting their bad communication habits.
The teaching of the video case was approved by the hospital's ethics committee, informed consent was obtained from the patient and family members, and the actual doctor-patient communication and pre-operative talks were recorded. Applying video data to teaching, Director Yan Wenguang of the Ministry of Medical Affairs and Associate Professor Wang Tiansheng of the Department of Otolaryngology combined lectures and commentaries on video, analyzed the advantages and disadvantages of the communication process, and pointed out the importance of strict adherence to medical procedures. The participants were impressed.
Liu Xinchun, deputy director of the Human Resources Department, organized a case discussion and knowledge rushing session for doctor-patient communication. The“Josie's story”translated by Song Zewen, an eight-year student in this school, was used as a case for this training. The secretary and the dean personally wrote a preface for the translation. After reading the typical cases of communication between doctors and patients, such as“Josie's Story”and“U.S. Rhode Island Hospital Case”, new recruits held group discussions and sent representatives to explain the views of various groups. The representatives from each group were very splendid. The analysis was in place, the understanding was profound, and the proposal was feasible. It fully demonstrated the excellent speculative skills, expression skills, and awareness of the 90s medical staff. The seven groups of students got a match in the Knowledge Responsiveness session, and the scenes were hot.
In addition, Deputy Dean Yuan Hong also gave lectures on “doing doctors who fit in with medical ethics”. Vice President Yang Feilong made a lecture entitled “Medical Science and Humanities”, Prof. Li Xiaorong, General Surgery, Prof. Wu Song, and Orthopedics. ICU deputy head nurse Tang Yingji, the most beautiful nurse Guo Na, and urology nurse Gong Ling also conducted on-site instruction and guidance for new recruits. Liu Xinchun, deputy director of the Human Resources Department, gave a lecture on "Doctor-patient relationship and five customary doctor-patient communication," and conducted course design and full instruction for the "five-custom" model.
After the "Five Customs" doctor-patient communication training was completed, the newly recruited personnel expressed their profound understanding of the charm and significance of doctor-patient communication from a new perspective, and effectively improved the communication skills and service awareness and ability of scientific diagnosis and treatment.
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